Varicose disease of the legs – it is not just a cosmetic problem, but a serious pathology, which follows the dangerous health consequences. Treatment of varicose veins laser treatment – one of the most advanced, less traumatic and reliable ways to cope with the disease at an early stage. This will allow you to achieve the beautiful aesthetic effect, varies minimal risk of complications and a short rehabilitation period.
Traditional drug therapy combined with physical therapy and wearing correctional laundry too gives good results, but does not eliminate the underlying cause of the disease. Radically solve the problem of the diseased vessels required surgical intervention. The classic operation for removal (phlebectomy) is difficult to tolerated by patients, because they are very traumatic and is accompanied by a high risk of infectious complications. This method is gradually becoming a thing of the past. Replaced it come minimally invasive procedures (sclerotherapy, laser), which give a great result and allow you to quickly and painlessly get rid of varicose veins.
Laser treatment: the essence of the procedure
Varicose veins laser correction is considered to be the most reliable and effective method of treatment. On the basis of this method is the use of thermal effect for coagulation of blood vessels. Simply put, a light pipe, embedded into the affected vessel during operation emits a stream of energy. This radiation is absorbed to a large extent, absorbed mainly by hemoglobin in the blood with the release of heat, which warms the blood cells and the vessel wall. As a result, the blood extruded from the container, and the vienna "signati". The blood flow is completely terminated, and the venous outflow from the surrounding tissues has already done through other, healthy veins.
Wearing compression underwear after the treatment of varicose veins laser refers to the effect of, creating additional pressure on the container, and not let restore it to the bloodstream in damaged vienna. Container with time is covered with connective tissue. Compliance with preventive measures of varicose veins will not allow to develop the defeat of the other veins, so that the disease will be cured forever.
The advantage of the method is in its small trauma, no loss of blood and large cuts. And once a gateway for infection, and risk of damage to surrounding tissues and possible complications reduced to a minimum.
Treatment of varicose diseases of the laser – littletraumatickéI procedure does not require special preparation and is performed under local anesthesia. The operation is carried out only in a special medical facility, the progress of the operation is carried out ultrasonic inspection in real-time. It is the surgeon using ULTRASONOGRAPHY monitors the promotion of led in vienna. Before surgery the patient must undergo the necessary examination, during which the detail of the location of the affected venous vessel and is designed by the optimal method of laser coagulation.
When is the appointed operations: indications
The reason to perform the operation on the treatment of varicose veins laser serves as a varicose subcutaneous veins (large and small). The Laser is applied in that case, if the mouth of these veins are extended for not more than 1 cm thick, themselves containers have a smooth course without sudden bends and their offshoots healthy or slightly extended. Then there is the laser is effective only in the initial stage of varicose veins, while a small range of severity of the process and only in the application of the subcutaneous veins. In the event that the disease is running, and the affected blood vessel to expand to more than 1 cm, there is a great probability that in the future vienna once again "evolve" and the treatment proves to be ineffective.
The medical laser has a therapeutic effect on a very small surface area – it allows you to avoid its negative impact on the surrounding tissue. So the use of laser therapy to large areas damaged blood vessels, and also in the deep veins, it is inefficient. In these cases, one must use other methods of surgical treatment, more than appropriate for a given situation (for example, the classic phlebectomy).
Contraindications
In addition to those cases, when the laser will be ineffective, there are situations where its use can damage the health of the patient. Contraindications for laser treatment is quite a lot, is conditionally can be divided into absolute and relative:
Absolute contraindications
When the absolute contraindications to carry out therapeutic manipulation categorically cannot be. The list of such conditions are:
- tendency to thrombosis and thrombophlebitis;
- of chronic disorders . — and lymph circulation in the legs;
- serious damage to the vein wall.
In these diseases the laser can damage the walls of blood vessels or trigger massive thrombosis of the veins. Also contraindications include the inability to actively move around and wear compression stockings. Without these activities in the postoperative period of laser treatments can completely lose their effectiveness, and so trigger the inflammation in the vessel.
Relative contraindications
Relative contraindications are those in which the operation is to postpone the time. It's inflammatory processes on the skin on the feet, especially around the site of a future injection site, aggravation of chronic diseases. In this case, it is necessary to first treat the associated pathology, and only then perform the operation. If they do not do so, then it is a big risk of complications in the postoperative period – how from the side runs a vein, so on the side of the disorder, which has become a contraindication to laser treatment.
The operation need not be carried out during pregnancy and lactation, because in this period, immunity is weakened, and the load on the lower limbs above, than is usual. For the same reason, it is difficult to perform laser treatment of varicose veins in overweight people – they are worse to tolerate anesthesia, when it is due to a large load on the legs, are possible complications in the postoperative period.
A description of the procedure of treatment of varicose veins veins on foot laser
Despite the high cost of treatment of varicose veins veins on foot laser, this procedure is gaining more and more popularity because of its simplicity and efficiency. To determine the availability of indications for surgery, pre-do a duplex ultrasound examination. It helps to see the structure of the veins, the degree of their damage and violation of blood flow. If the condition of the vessels of the patient allows you to perform laser treatments, then it is prescribed surgery.
In the day of the procedure, a special preparation of the patient is not required. If necessary, you can take a tranquilizer. Before the operation is performed more one-sided angiography, all manipulations occur under the control of ULTRASOUND. A small range of operation and allows you to avoid general anesthesia and its associated complications – laser treatment is performed under local anesthesia, which ease the injection site.
The essence of the operation for the treatment of varicose veins laser lies in the fact that through a small puncture in the skin of the lower limbs on the damaged vessel is introduced a light pipe, connected to the laser device. Then with the help of laser radiation occurs coagulation of the damaged vessels, followed by a light pipe is extracted, the injection site is treated by local antiseptic, and on it builds, is a sterile bandage. The surgery itself takes about 15 -30 minutes (the processing of one foot).
After the forced lying on the operating table to move in a vertical position is recommended to slowly and gradually – first sit down and then stand up. It will allow you to avoid vascular collapse at the sudden change in body position. No limit is not. Through some time after the procedure the patient can go home.
The post-operative period
Before surgery, the patient must be in advance to buy compression underwear – stockings or tights. The degree of compression is negotiated with the doctor in advance.
Then, what produced the removal of varicose veins with a laser, it is necessary to immediately wear pressure stockings on the leg. During the first two days of wear need to be constantly, without lifting. Then, if there are no complications, the doctor allow to shoot treatment underwear at night. Time carrying medical knitted fabric is gradually reduced according to how operates a vessel permanently covered with connective tissue. Because of the need to wear compression underwear surgery trying to assign to a cold period, the patient did not feel discomfort in prolonged wear stockings. In addition, the health status of patients with diseases of the blood vessels is much better when it is colder weather than in the heat.
In the first week after treatment of varicose veins of the laser it is necessary to avoid significant load on the legs, weight lifting, you can not visit the spa, sauna or pool. Furthermore, it is necessary to gradually increase the level of physical activity. Recommended hiking, running and biking, aerobics, swimming. The patient can play sports, walk long distances, drive a vehicle. Contraction of the striated muscles of the legs will perform the function of a supplemental pump, and contribute to the improvement of the venous outflow from the lower extremities. It is a natural mechanism, the use of which will help to avoid a relapse of varicose disease after surgery.
Go to work, if it is not associated with great physical stress or long standing on the feet, it is possible to almost immediately, and even in day to day operations. Possible work at home you can also make a few days after the intervention. Walk can and must be already in the first minutes after surgery, wearing compression underwear.
Possible complications
Treatment of varicose veins of the veins with a laser is particularly popular thanks to the short rehabilitation period, the lack of pain and minimal risk of complications. However, completely are not excluded. In the course of the operation may occur feelings of pain when a poorly made anesthesia. After the treatment is painful can manifest on the go operates vienna. If painful feelings do not weaken in the course of two days, a doctor's visit is required – it can be a symptom of serious complications.
Errors in the implementation of manipulation can cause burns to the skin and soft tissues, hematoma at the site of injection, suppuration and inflammatory processes. In rare cases, possible thrombosis of the veins, including deep, which leads to a significant deterioration in the condition of the patient. It is necessary to immediately seek medical help if:
- in the first two days of pain in the course of the vein and the injection site is not to weaken or worsen;
- on the skin around the injection site, signs of inflammation – redness and increased local temperature, formation of suppurating foci;
- when walking arise pains in the muscles of the legs, swelling, feeling of heaviness;
- appeared pathological pigmentation on the skin of the feet;
- raised temperature;
- any other unpleasant sensations in the legs – a violation of sensitivity, paraesthesia.
To timely diagnose these complications, it is recommended to the second day after surgery seem doctor – phlebologist and regularly comes in for a checkup.
Preventive measures
Experts advise to stick to simple preventive measures to prevent any recurrence of the disease:
- it is necessary to monitor your weight and prevent unnecessary kilograms;
- it is necessary to avoid long periods of sitting or standing in one position, get rid of the habit of sitting in the pose of the "feet to foot";
- it is recommended a proper and complete diet, refusal of bad habits (smoking, alcohol);
- shoes need to choose the comfortable, made of natural materials and on a small, stable heel;
- it is necessary to refrain from a sedentary lifestyle, try to move more, to practice and not give up moderate physical exertion.
The benefits of laser therapy for veins
Laser treatment of varicose disease has many significant advantages over other methods of surgery. List the main advantages of laser therapy:
- absent the need to discharge a patient in the hospital, the procedure is performed on an outpatient basis;
- the surgery is performed under local anesthesia, which is well tolerated by patients;
- the procedure allows you to achieve a beautiful cosmetic effect, because access to the affected vienna is performed through a small puncture. Because the cuts are not available, on the skin do not remain scars and other defects;
- the use of modern equipment allows evenly diffused laser radiation inside the vein and strive for her quality workmanship. As a result, after the procedure the skin remains of bruises;
- during laser treatment it is possible to process at once both feet, handling occupy only 30 -40 minutes;
- short and painless rehabilitation period. Already an hour after the operation the patient returns home, and after a few days they can return to a normal lifestyle;
- to date, laser coagulation of blood vessels is considered to be the most effective and safe method of treatment of varicose disease, which allows to avoid complications (thrombophlebitis, secondary infection).
Disadvantages of laser treatment
With all its attractiveness, this method has a number of disadvantages, among which include:
- impossibility of the use of methods of laser therapy for severe varicose veins;
- in cases where the diameter of the subcutaneous veins too large, you will need to combine laser therapy with the classic surgical interventions and avoid cuts on the skin will fail;
- another drawback – it is mandatory to wear compression underwear during the 7 days after surgery;
- the main minus for many patients – "biting" the prices for the procedure.
Before you opt for laser therapy, it is necessary to weigh all "for" and "against", to go through a complete examination and get the advice of an experienced specialist.
The cost of laser treatment of varicose veins
The cost of treatment of varicose veins laser treatment is one of the major drawbacks of this method. It can vary within wide limits, depending on the degree of difficulty, the individual characteristics of the patient, of the equipment used, the status of the clinic and the expertise of the doctors.